MEDICARE: GINA CIARAMITARO RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	95142902	CA

General Provider Information

NPI Number	:	1902757354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GINA CIARAMITARO RN

Provider Business Mailing Address
First Line	:	9343 EL BLANCO AVE
Second Line	:
City	:	FOUNTAIN VALLEY
State	:	CA
Zip	:	92708-4519
Country	:	US
Telephone Number	:	562-230-3454
Fax Number	:

Provider Business Practice Location Address
First Line	:	9343 EL BLANCO AVE
Second Line	:
City	:	FOUNTAIN VALLEY
State	:	CA
Zip	:	92708-4519
Country	:	US
Telephone Number	:	562-230-3454
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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